| NPI | 1639597735 |
|---|---|
| Former Name | KAIA MARIE WAKAMIYA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: OR 016265) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: CA 21740) |
| Enumeration Date | 2014-04-04 |
| Last Update Date | 2023-01-31 |